<!DOCTYPE html>
<html>
    <head>
        <meta charset="utf-8" />
        <title>Đăng ký</title>
        <meta name="viewport" content="width=device-width, initial-scale=1.0">
    </head>
    <body class="blurBg-false" style="background-color:#EBEBEB">



        <!-- Start Formoid form-->
        <link rel="stylesheet" href="<?php echo base_url(); ?>Public/css/formoid-metro-red.css" type="text/css" />
        <script type="text/javascript" src="<?php echo base_url(); ?>Public/js/jquery.min.js"></script>
        <script type="text/javascript" src="<?php echo base_url(); ?>Public/js/myjavascript.js"></script>
        <form class="formoid-metro-red" style="background-color:#f5efff;font-size:14px;font-family:'Open Sans','Helvetica Neue','Helvetica',Arial,Verdana,sans-serif;color:#666666;max-width:480px;min-width:150px" action="<?php echo base_url("index.php/login/dangky"); ?>" method="post">
            <div class="title">
                <h2>Đăng ký</h2>
            </div>
            <div class="element-name" >
                <label class="title">Họ tên</label>
                <span class="required">
                    <input type="text" name="name" id="name"required="required"/>
                </span>
            </div>
            <div class="element-input" >
                <label class="title">Tên đăng nhập
                    <span class="required">*</span>
                </label>
                <input class="large" type="text" name="tentk" id ="tentk" required="required"/>
            </div>
            <div class="element-password" >
                <label class="title">Mật khẩu
                    <span class="required">*</span>
                </label>
                <input class="large" type="password" name="password" id="password" value="" required="required"/>
            </div>
            <div class="element-password" >
                <label class="title">Nhập lại mật khẩu</label>
                <input class="large" type="password" name="password1" id="password1" onkeyup="checkPass();
                        return false;" />
                <span id="confirmMessage" class="confirmMessage"></span>
            </div>
            <div class="element-email" >
                <label class="title">Địa chỉ email
                    <span class="required">*</span>
                </label>
                <input class="large" type="email" name="email" id="email" value="" required="required"/>
            </div>
            <div class="element-date" >
                <label class="title">Ngày sinh
                    <span class="required">*</span>
                </label>
                <input class="large" placeholder="yyyy-mm-dd" type="date" name="date" id="date" required="required"/>
            </div>
            <div class="element-checkbox" >
                <label class="title">Giới tính
                    <span class="required">*</span>
                </label>		
                <div class="column column3">
                    <select id="gioidinh" name="gioitinh">
                        <option value="NAM">NAM</option>
                        <option value="NU">NỮ</option>
                    </select>
                </div>
                <span class="clearfix"></span>
            </div>
            <div class="element-recaptcha" >
                <label class="title">Mã bảo mật</label>
                <script type="text/javascript">var RecaptchaOptions = {theme: "clean"};</script>
                <script type="text/javascript" src="http://www.google.com/recaptcha/api/challenge?k=6LfXX-oSAAAAABnReuvuIMaIXE5QF1IWMhze4Ckp
                &theme=clean"></script>
                <noscript>
                <iframe src="http://www.google.com/recaptcha/api/noscript?k=6LfXX-oSAAAAABnReuvuIMaIXE5QF1IWMhze4Ckp
                        &hl=en" height="300" width="500" frameborder="0"></iframe></br>
                <textarea name="recaptcha_challenge_field" rows="3" cols="40"></textarea>
                <input type="hidden" name="recaptcha_response_field" value="manual_challenge">
                </noscript>
                <script type="text/javascript">if (/#invalidcaptcha$/.test(window.location))
                        (document.getElementById("recaptcha_widget_div")).className += " error"</script></div>
            
            <div class="element-checkbox" >
                <label class="title"></label>		
                <div class="column column1">
                    <span>Tôi đồng ý với các quy định của trang web</span>
                    <br/>
                </div>
                <span class="clearfix"></span>
            </div>
            
            <div class="submit">
                <input type="submit" value="Đăng ký"/>
                <input type="reset" value="Hủy bỏ"/>
            </div>
        </form>
        <script type="text/javascript" src="<?php echo base_url(); ?>Public/js/formoid-metro-red.js"></script>

        <!-- Stop Formoid form-->



    </body>
</html>
